New Jersey Medicare patients will be guinea pigs in a grand experiment that tests the capabilities of using artificial intelligence to decide which medical procedures should be covered by insurance.

SAN DIEGO, Dec. 16, 2025 /PRNewswire/ -- American Specialty Health's (ASH's) ongoing commitment to industry best practices on utilization management (UM) has led to joining more than 60 full-service ...

Earlier this week, the NIH released NOT-OD-26-018, which officially requires the common forms and SciENcv for all biosketches and other support documents for any applications, RPPRs or JITs due on or ...

Rajasthan BSTC Pre DElEd 2026: Rajasthan BSTC Pre DElEd 2026 applications are now open at predeledraj2026.com, inviting eligible class 12 pass candidates to apply for admission to the D.El.Ed course ...

Starting Jan. 1, traditional Medicare recipients in Washington state will face a new hurdle to get certain procedures covered — private AI companies that get paid based on how many claims they deny.

While the headaches and life-altering results of insurance pre-authorizations are not new to physicians or patients, lately things have been getting worse. Patients are sending more and more messages ...

The Wasteful and Inappropriate Service Reduction initiative from CMS is set to take effect Jan. 1, 2026, introducing new prior authorization requirements for select services. Here are seven things to ...

One of the most exciting announcements from the Superbooth trade show back in May, HexDrums is a collaboration between Latvian manufacturer Erica Synths and the now-defunct modular brand Hexinverter ...

Surescripts®, the nation's leading health intelligence network, today announced a major expansion of its Touchless Prior Authorization technology, now reaching more than 76,000 prescribers across the ...

A Hanover Park police officer was detained by U.S. Immigration and Customs Enforcement agents this week, accused of overstaying a tourist visa by more than a decade. But village officials insisted he ...

The Department of Health and Human Services secretary, Robert F. Kennedy Jr., has announced a “historic agreement” with insurance companies that they will now give “immediate pre-authorization” on ...

Insurance denied 18-year-old Nala White’s surgery for degenerative disc disease. After NBC News reached out, it was approved the next day. By the time she graduated high school, the back pain that ...